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Okaloosa County BOCC — April 5, 2016 — Tmberview Helicopter Lease Renewal — reading text
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CONTRACT & LEASE INTERNAL COORDINATION SHEET
Contract/Lease Ngmber:g-—/q ’OLfOL{ "AP ’ Tracking Number:\gfig /‘(fl
Contractor/Lessee NomeT yavi ' ¢S Grant Funded: YES___ NOX
Purpose:
Date/Term: | Ptk Lo— B[ Ve |7) . 1. [ GREATER THAN $50,000
Amount: 2. [] GREATER THAN $25,000
Depariment: Ady Pov4 3. [ $25,000 OR LESS
‘Dept. Monitor Name: g’(’?fi(&@/ M W\W
Document has been reviewed and includes any attachments or exhibits.
Purchasing Review
Wre%/f\reqwem nts are met:
, ' Date: ?/ ?/ / é
Purchosmg Director or d/emgnee
Risk Management Review
Dee Op
Approved as-written:
) W Date: 3“‘q ~HQ
Risk'Mon\('Jger or designee Y
. County Afforney Review
Approved as written:
Date:
‘County Attorney
Following Okaloosa County approval:
VContract & Grant
Document has been received:
Date:
Contracts & Grants Manager
Dave Miner
From: Parsons, Kerry <KParsons@ngn-tally.com>
Sent: Wednesday, March 09, 2016 2:06 PM
To: Melissa Weisser
Ce: Dave Miner; Zan Fedorak; Lynn Hoshihara; Greg Stewart
Subject: RE: Timberview Helicopters Lease Renewal
Hey Melissa:
Please see section 1 of the lease, there is an automatic renewal clause for one year periods. |
understand that the County prefers to have these renewal forms signed every year, but because of the
way this lease is written, that is just a formality and the lease renews automatically on February 1% of
every year unless the County terminates by giving fifteen (15) days’ notice in accordance with section 14
of the lease.
Let me know if you have any other questions.
Kerry
From: Melissa Weisser [mailto:mweisser@co.okaloosa.fl.us]
Sent: Wednesday, March 09, 2016 12:17 PM
To: Lynn Hoshihara; Parsons, Kerry; Greg Stewart
Cc: Dave Miner; Zan Fedorak
Subject: Timberview Helicopters Lease Renewal
Good morning!
| received the attached document from Dave Miner (cc’d) at the Airport. Zan has trepidation in signing it
because we didn’t receive it until 2/26/16, which was after the renewal period, which started
2/1/2016. Mr. Miner said he had trouble getting it back from Timberview Helicopters. Our guestion is,
do they need to cease whatever activity they have on County property, or are we still under contract
with them? Additionally, is Zan authorized to sign this or should we go another route? Thanks!
Respectfully,
Melissa Weisser
Purchasing Specialist
Okaloosa County Purchasing Department
5479A Old Bethel Road
Crestview, Florida 32536
= (850) 689-5960
Fax: 850-689-5970
mweisser@co.okaloosa.fl.us
Please note: Due to Florida’s very broad public records laws, most written communications to or from County employees regarding County business are
public records, available to the public and media upon request. Therefore, this e-mail communication, including your email address, may be subject to
public disclosure and public record retention requirements.
Dave Miner
From: Krystal King
Sent: Thursday, March 24, 2016 4:16 PM
To: Dave Miner
Cc: Laura Porter
Subject: Timberview Helicopter Lease - coordination sheet
The insurance requirements section of the renewal lease is okay as written at this time. Please
disregard the change | made on the original coordination sheet.
Let me know if you need anything further.
Sincerely
Argetef ig
{ikaloosa County
Risk Management
(830)689-a877
Fax (830)683-0873
Please note: Due to Florida's very broad public records laws, most written communications to or from County employees
regarding County business are public records available to the public and media upon request. Therefore, this written email
communication including your email address, may be subject to public disclosure.
CONTRACT/LEASE RENEWAL FORM
November 3, 2015
Timberview Helicopters, Inc.
Attn: Justin Johnson
981 Hwy 98 East, Suite 3153
Destin, FL 32541
RE: Lease Renewal
Dear Mr. Johnson:
The Okaloosa County Board of County Commiissioners agrees to renew the subject
contract/lease, #L14-0404-AP for an additional term. The contract renewal
period will be Feb. 12016 to January 31, 2017 . The annual budgeted
amount for this contract is $5% of Gross . All other terms and conditions of the
original agreement shall remain in full force and effect through the durotion of this
renewal.
If you are in agreement, please sign below and return this form along with a current
Cerlificate of insurance listing Okaloosa County as co-insured (if applicable).
COUNTY REPRESENTATIVES AUTHORIZED COMPANY REPRESENTATIVE
e . A
Dept. DirectW Contractor: (M fer e /kfi 00/ :
Signature: X Vf/
Date: AG-28~
7
Approved By: Approved %fl’/
{as prescribed below on item 1)
P
Date:
Approved By: Title: f ‘e j
(as prescribed below on item 1)
Date: Date: [2-5-2¢/4
County Department Instructions:
1) Obtain signatures from Depariment Director, authorized Company Representative and then
Purchasing Director <$25K and less, County Administrator <$50K and less or Board >$50K, as
necessary. If Board approval is required, the Chairman and County Administrator's signatures
are required. Make sure the company provides a current Cetlificate of Insurance. (If
appiicable).
2) Keep a copy of this form for your records.
3) Send original to Purchasing Services Coordinator.
If you have any questions please contact the Purchasing Director at 850-689-5260, Fax: 850-
689-5998.
CONTRACT/LEASE RENEWAL FORM
November 3, 2015
Timberview Helicopters, Inc.
Altn: Justin Johnson
081 Hwy 98 East, Suite 3153
Destin, FL 32541
RE: Lease Renewal
Dear Mr. Johnson:
The Okaloosa County Board of County Commissioners agrees to renew the subject
contract/lecse, #114-0404-AP for an additional term. The contract renewal
period wil be Feb. 1 2016 to January 31, 2017 . The annual budgeted
amount for this contract is $5% of Gross . All other terms and conditions of the
original agreement shall remain in full force and effect through the duration of this
renewal.
If you are in agreement, please sign below and return this form along with a cument
Ceitificate of Insurance listing Okaloosa County as co-insured (if applicable).
COUNTY REPRESENTATIVES AUTHORIZED COMPANY REPRESENTATIVE
Dept. Directar. Contractor; 7,’ mbes (', //c feal 16T
Signature: L Q/Z,/——
Date: _#f9-/e”
Approved By: Approved By: /77;
(as prescribed below on item 1) /%
Date:
Approved By: Tifle: }p ves
(as prescribed below on item 1)
/'»20”2,0/(’
Date: Date:
County Department Instructions:
1) Obtain signatures from Department Director, authorized Company Representative and then
2)
3)
Purchasing Director <$25K and less, County Administrator <$50K and less or Board >$50K, as
necessary. If Board approval is required, the Chairman and County Administrator's signatures
are required. Make sure the company provides a current Cerlificate of Insurance. (if
appiicable).
Keep a copy of this form for your records.
send original to Purchasing Services Coordinator.
If you have any questions please contact the Purchasing Director at 850-689-5960, Fax: 850-
689-5998.
DATE (MMDLYYY'YY)
e
ACORD@ CERTIFICATE OF AIRCRAFT INSURANCE otosore
THIS CERTIFICATE IS ISSUEDAS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER, THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must be endorsed. IF SUBRGGATION IS WAIVED, subject to
the terms and conditlons of the policy, certaln policles may requira an endorsement, A statement on this certificate does not confer rights to the
certiflcate holder In Hou of such endorsement(s).
CONTACT
PRODUCER NAME:;
Alr Capital Insurance, LLC PHONE FAX
PO Box 458 G, Mo, Exty: (A/C, No):
Wichita, KS, 67201 £-MAIL ADDRESS:
S PRODUGER CUSTOMER IDNo.
INSH
Timberview Hellcoplers, inG. INSURER{S} AFFORDING COYERAGE % NAIC No.
INSURER A: U8, SPECIALTY INSURANCE COMPANY 100%
100 Country Club Drive INSURER 8:
Destin, FL, 32541 INSURER C:
INSURER D
INSURER E:
INSURER F:
THIS IS TO CERTIFY THAT THE POLIGIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT 7O WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXGLUSIONS AND CONDITIONS OF SUGH POLIGIES. LIMITS SHOWN MAY HAVE BEEN REDUGED BY PAID CLAIMS.
POLICY INFORMATION CERTIFICATE NUMBER: REVISION NUMBER:
POLICY TYPE LINE OF BUSINESS SUBCODE
TNOUSTRIAL FEASURE & COVMERCIAL ARPLANE | 7 | FELICOPTER WIXED FLEET EXCESS TOOTA
AD L s t X } SHARE
] NON-OWRED i 1| LiesTY HULL & UABILITY HULL OMLY
L oy t
AIRCRAFT INFORMATION | | ACORD 333, Alrcraft Schedule attached
YEAR NAKE MODEL SERIAL NUMBER REGISTRATIONNUMBER
2004 ROBINSON R44 1 N73MT
TERRITORY:
AIRCRAFT COVERAGES
NSURERIETTER POLIGY NUMBER EFFECTIVE DATE EXPIRATIONDATE | ADDITIONAL NEURED? (V7N SUBROGATION WAVEDT (77 )
RW00181830-02 Q10172016 o127 Y N
COVERAGE | ORTIONS LiMIT APPLIES TG LiMiT APPLIESTO
) | AL RIGK GROUNDG ANDFLGHT —f§ 300,000 1,000 Ded. - Nat In mation
ARCRAFTHULL "3 | ALL Risi GROUND ONLY AGREEDVALUE | 35 060 Ded, - In molion
TABILITY & 1,600,000 EAGCC 5 EAPER
ANRCRAFT LIGILITY | =] 100,000 EAPASS AGGR
& | NCLUDING CREWY 5,000
| B > occ
MEDICAL PAYMENTS 57 excLupin crew .| BAPER 6 20,000 EA
COVERAGE
CODE OESCRIPTION OPTIQNS LIMIT APPLIES TO LIMIT APPLIES TO
DESCRIPTION OF OPERATIONS / REMARKS (Attach ACORD 1 01, Additional Remarks Scheduls, if more space is required)
Certificate Holder is Included as an Additional Insured.
CERTIFICATE MOLDER CANCELLATION
Okalcosa County SHQULD ANY OF THE ABOVE DEBGRIBED POLICIES BE CANCELLED BEFORI;:; ;Hfi
00 v EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACGORDANCE
‘13 es}];j,\'g:“;gfile ard MITH THE POLICY PROVISIONS,
" [AUTHORIZED REPRESENTATIVE
o
- s gt
© 2009 ACORD CORPORATION. All rights reserved.
ACORD 21 (20098/12) The ACORD name and logo are reglstered marks of ACORD
DATE (MMDD/YYYY)
AC’QRD@ CERTIFICATE OF AIRCRAFT INSURANCE ovomnts
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPCN THE CERTIFICATE HOLDER, THIS
CERTIFICATE DOES NOT AFFIRMATIVELY QR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder Is an ADDITIGNAL INSURED, the policy({les) must be endorsed. If SUBROGATION IS WAIVED, subject to
the terms and conditfons of the policy, certain policles may require an endorsement, A statement on this certificate does not confer rights to the
certificate hoider In lleu of such endorsement(s}.
COMTACT
PRODUCER NAME:
Alr Capital Insurance, LL.C PHONE FAX
PO Box 458 (NC, No, Bt (A/C, No):
Wichita, KS, 67201 E-MAIL ADDRESS:
PRODUCER CUSTOMERIDNo.
INSURED INSURER(S] AFFORDING COVERAGE o NAIC No.
Timberview Helicopters, Inc. RISI * >
INSURER A: 1.8, SPECIALTY INSURANCE COMPANY 100%
100 Country Club Dive INSURER B:
Destin, FL, 32541 INSURER C:
INSURER D;
INSURER E:
INSURERF :
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN I1SSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUGH POLIGIES. LIMITS SHOWN MAY HAVE BEEN REDUGED BY PAID CLAIMS.
POLICY INFORMATION CERTIFICATE NUMBER: REVISION NUMBER:
ROLICY TYPE LINE OF BUSINESS SUBCODE
TNOUSTTIAL FEATRES COMMERCIAL FRPLANE | oy | FELICOPTER TIRED FLEET EXCESS GUOTA
AD
